Healthcare Provider Details

I. General information

NPI: 1821252016
Provider Name (Legal Business Name): TRANSITIONS COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 MARBLE AVE NE SUITE 3
ALBUQUERQUE NM
87110-6632
US

IV. Provider business mailing address

PO BOX 9911
ALBUQUERQUE NM
87119-9911
US

V. Phone/Fax

Practice location:
  • Phone: 505-710-2111
  • Fax:
Mailing address:
  • Phone: 505-710-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number0113571
License Number StateNM

VIII. Authorized Official

Name: BEATRICE NARCISCO
Title or Position: ADMINISTRATOR
Credential:
Phone: 505-710-2111